Individual
ELECTRA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
935 W SAN MARCOS BLVD STE 102, SAN MARCOS, CA 92078-1142
(760) 471-2440
(760) 471-2442
Mailing address
3070 MADISON ST, CARLSBAD, CA 92008-2310
(760) 591-7750
(760) 471-5139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT52766
CA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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